Provider Type Icon

EAST HOLLYWOOD MEDICAL ASSOCIATES INC. NPI 1174718704


NPI Information

NPI: 1174718704
Provider Name: EAST HOLLYWOOD MEDICAL ASSOCIATES, INC.
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 10D0717297

Address:
2219 HOLLYWOOD BLVD STE 101
HOLLYWOOD, FL
ZIP 33020
Phone: (954) 926-2900
Get Directions

EAST HOLLYWOOD MEDICAL ASSOCIATES, INC. is a geriatric medicine internal medicine in Hollywood, FL. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. EAST HOLLYWOOD MEDICAL ASSOCIATES, INC. NPI is 1174718704. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2219 HOLLYWOOD BLVD STE 101
HOLLYWOOD, FL
ZIP 33020-760
Phone: (954) 926-2900
Fax: (954) 926-2956

The provider's authorized official is Manuel Iribar .
The authorized official title is President and has the following contact phone number (954) 926-2900.

The CLIA number assigned to this NPI record is 10D0717297 - health main. organization with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2007 and was last updated on 11/14/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineME0041495FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.